| Internal And Pulmonary Medicine Of Lafollette, Pc | |
|
511 W Central Ave Suite 2 La Follette TN 37766-3423 | |
| (423) 566-4142 | |
| (423) 566-5267 |
| Full Name | Internal And Pulmonary Medicine Of Lafollette, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 511 W Central Ave, La Follette, Tennessee |
| Authorized Official Name and Position | Jamal Isber (OWNER) |
| Authorized Official Contact | 4235664142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal And Pulmonary Medicine Of Lafollette, Pc 511 W Central Ave Suite 2 La Follette TN 37766-3423 Ph: (423) 566-4142 | Internal And Pulmonary Medicine Of Lafollette, Pc 511 W Central Ave Suite 2 La Follette TN 37766-3423 Ph: (423) 566-4142 |
| NPI Number | 1811926793 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 11/09/2007 |
| Medicare PECOS PAC ID | 0749376820 |
|---|---|
| Medicare Enrollment ID | O20071020000113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811926793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD25826 (Tennessee) | Primary |
| Provider Name | Jamal Isber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912936808 PECOS PAC ID: 7113946732 Enrollment ID: I20051114000295 |
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